| NPI | 1083949028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4279-125) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2023-11-30 |